卡齐纳联邦医疗中心的双胞胎妊娠:5年回顾

A. Lawal, Ojonigwu Atabo-Peter, A. Abdurrahman
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引用次数: 2

摘要

背景:与单胎妊娠相比,多胎妊娠在产前、产时和产后发生产妇并发症的风险更高,围产期发病率和死亡率的风险也更高。目的:本研究的目的是确定卡齐纳联邦医疗中心双胞胎分娩的发生率和产科结局。方法:回顾性研究2010年1月1日至2014年12月31日期间在卡齐纳州联邦医疗中心(FMCK)进行的双胞胎分娩。结果:在9947例分娩中,有172例双胞胎分娩,每1000例分娩中有17.3例双胞胎。在此期间有3例三胞胎分娩。最常见的并发症是早产,早产发生率为40.1%。阴道分娩占64.5%,剖宫产占35.5%。急诊剖宫产两胎占24.42%,选择性剖宫产两胎占8.72%。阴道和腹部合并分娩占分娩总数的2.33%。死胎率为千分之81.4。第一胎和第二胎分别有11例(6.4%)和17例(9.9%)死产。出生体重正常的婴儿占42.2%。男女比例为1:1.15。结论:我院双胎分娩率较高。也有相关的高发生率的产妇并发症和不良围产期结局。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Twin pregnancies at federal medical centre Katsina: A 5 year review
Background: Multiple gestation is associated with higher risk of maternal complications in the antenatal, intrapartum, and postpartum periods compared with singleton pregnancies, as well as higher risk for perinatal morbidity and mortality. Objective: The objective of this study was to determine the incidence and obstetric outcomes of twin deliveries in Federal Medical Centre Katsina. Methods: It is a retrospective study of twin deliveries over a 5-year period from January 1st 2010 to December 31st 2014 conducted at the Federal Medical Centre Katsina (FMCK), Katsina state. Results: There were 172 cases of twin deliveries out of 9,947 deliveries giving an overall twinning rate of 17.3 per 1,000 deliveries. There were three cases of triplet delivery during this period. The most common complication was preterm delivery which occurred in 40.1% of cases. The mode of delivery was vaginal in 64.5% while 35.5% had caesarean section. Emergency caesarean section for delivery of both babies was carried out in 24.42% while elective caesarean section for both babies accounted for 8.72%. Combined vaginal and abdominal delivery occurred in 2.33% of deliveries. The stillbirth rate was 81.4 per 1,000 births. There were 11 (6.4%) and 17 (9.9%) stillbirths among the first and the second babies respectively. Babies that had normal birth weight constituted 42.2%. The male to female ratio was 1:1.15. Conclusion: The rate of twin deliveries in our centre is high. There is also associated high rate of maternal complications and adverse perinatal outcomes.
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